When looking to improve your investigation management capability, imitation is the greatest form of flattery.

So where have other enterprises like yours gone and what has it got them? Any good world-class case management solution will be able to reel out a list of customers, such as these:

CommInsure

• Large general insurer in Australia.
• Team of 15 managing 10+ vendors.
• Vendors nationwide.
• National access.
• Customer since 2008

Success stories – Manages vendors well, outsource updates to vendors, faster turnaround times 40 to 20 days, in-vestigation unit reporting.

The Hartford Insurance Group

• $20 Billion worth of policy / year.
• 175 investigators / case managers
• Vendors nationwide
• National access
• Customer since 2008

Success stories – Real time interaction with two claims systems, direct feed to corporate business intelligence data warehouse, consistent business process across a large enterprise.

TriWest Healthcare Alliance

• Healthcare Provider to the US Military
• 26 investigators / case managers
• Nationwide coverage
• National access
• Customer since 2010

Success stories – With both health information and military information stored during the investigation process Polo-nious went through rigorous testing prior to adoption by TriWest and as a result is now HIIPPA (Health Insurance Portability and Accountability Act) compliant and DDIACAP (Department of Defense Information Assurance Certifica-tion and Accreditation Process) approved.

IAGNZ – Investigations + Assessing (Adjusting)

• IAGNZ is a large multi line insurance carrier in New Zealand
• 20 investigators and vendors
• 50 assessors
• Nationwide coverage
• National access
• Customer since 2010

Success stories – We successfully designed specific and varied
business processes to meet the needs of all of the businesses
within IAGNZ and its various brands. This included investigation processes
for both internal investigators and vendors (suppliers) and assessing
(adjusting) requirements.

Horsemen, Inc – California, USA

Customer since: 2007

Investigators on original implementation: 65

Investigators at current point: 85

Unique benefits: Embedding of their unique business process and efficiencies around admin staff reductions (20%) and client reporting (many hours per month not in front of a spreadsheet).

Elite Investigations – Nevada, USA

Customer since: June 2009

Investigators on original implementation: 10

Investigators at current point: 20

Unique benefits: Embedding of their unique business process and efficiencies around admin staff reductions (20%) and client reporting (many hours per month not in front of a spreadsheet).

Verifact, Nationwide, Australia

Customer since: May 2006

Investigators on original implementation: 200+

Investigators at current point: 200+

Unique benefits: Verifact have grown their case load significantly since adopting PCMS. The team manage a huge variety of different customer needs due to the underlying flexibility of the product.

The Crux Investigation Group – Nationwide Australia

Customer since: April 2007

Investigators on original implementation: N/A

Unique benefits: Crux brings together specialty investigation companies from all states of Australia. PCMS has allowed CRUX to colaborate and consistently deliver on cases as both individual companies and as part of a nationwide network. In Crux own words: The ECMS brings enhanced organization, tracking and automation to the complex process of insurance-related investigations. The system manages the process from beginning to end, driving investigative best practices throughout. Investigation progress is tracked in real time and findings can be analyzed and reported instantaneously in a range of formats to suit our group managers and external customers.